Albers M
für den Fachausschuss Psychiatrie des BVÖGD.
Gesundheitswesen. 2014 Apr;76(4):237-40. doi: 10.1055/s-0034-1371802. Epub 2014 Mar 26.
It is strongly recommended to establish mental health laws in every state. By these laws, outpatient services have to be dedicated to avoiding involuntary hospitalisations. Community mental health systems need to be enabled to supply low threshold, immediate care services, if necessary at home (home treatment resp. assertive community treatment). To this end, the role of sociopsychiatric services in service coordination has to be strengthened and comprehensive community mental health organisations have to be established in every city or county. At state level, Councils on Mental Health need to be implemented by state government, mental health reporting, especially on rates of involuntary hospitalisations (by federal as well as state law) has to be established and visiting committees need to extend their scope to all institutions and services that play a role in prevention or aftercare of involuntary hospitalisation.
强烈建议每个州都制定心理健康法律。通过这些法律，门诊服务必须致力于避免非自愿住院治疗。社区心理健康系统需要有能力提供低门槛的即时护理服务，必要时可提供居家服务（居家治疗或积极社区治疗）。为此，必须加强社会精神病服务在服务协调中的作用，并在每个市或县建立全面的社区心理健康组织。在州一级，州政府需要设立心理健康委员会，建立心理健康报告制度，特别是关于非自愿住院治疗率的报告（依据联邦和州法律），巡视委员会的范围需要扩大到所有在非自愿住院治疗的预防或后续护理中发挥作用的机构和服务。
